| Mrs Julie Kimble, RD, LDN | |
|
134 Greyhorse Rd, Willow Grove, PA 19090-1607 | |
| (610) 246-4742 | |
| Not Available |
| Full Name | Mrs Julie Kimble |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 134 Greyhorse Rd, Willow Grove, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174299275 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | DN003187 (Pennsylvania) | Primary |
| 133V00000X | Dietitian, Registered | 933657 (Arizona) | Secondary |
| Provider Name | Surely Health Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1053078360 PECOS PAC ID: 3072960491 Enrollment ID: O20240320003425 |
| Provider Name | Season Clinical Care Pa |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1649933565 PECOS PAC ID: 4688015050 Enrollment ID: O20250109003415 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Julie Kimble, RD, LDN 134 Greyhorse Rd, Willow Grove, PA 19090-1607 Ph: (610) 246-4742 | Mrs Julie Kimble, RD, LDN 134 Greyhorse Rd, Willow Grove, PA 19090-1607 Ph: (610) 246-4742 |
Mrs. Joan R. Gangwer, MS,RD,CDE,LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2300 Computer Rd, Suite H-39, Willow Grove, PA 19090 Phone: 215-588-6970 | |
Hanna Frances Long, RDN, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 414 Inman Ter, Willow Grove, PA 19090 Phone: 267-229-7953 | |
Jennifer Lyons, MS RD LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2501 Maryland Rd Apt D1, Willow Grove, PA 19090 Phone: 610-731-1291 | |
Mr. Caleb R Frazier, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2729 Blair Mill Rd Ste E, Willow Grove, PA 19090 Phone: 215-672-0899 Fax: 215-672-5108 | |
Kathleen H Nellett, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2729 Blair Mill Rd, Suite E, Willow Grove, PA 19090 Phone: 215-672-0899 Fax: 215-672-5108 | |
Karin Sargrad, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2729 Blair Mill Rd, Suite E, Willow Grove, PA 19090 Phone: 215-672-0899 |